6502 EVERGREEN WAY ENHANCED SERVICE FACILITIES 2019-09-05

FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES / - 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits ' PROJECT,SITE i INFORMATION : PROJECT ADDRESSEvergreen Way BUILDING AREA: 340° sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR El TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: El COMMERCIAL AIT INFORMATION & DESCRIPTION OF WORK" CONTRACT PRICE OF WORLi; ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORAdding 6 audio/visual deo the existing fire alarm system. PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit Issuance.Confirm the required items are included by checking the boxes: Check the boxes below to indicaticate all documents that are being submitted with this permit application: ✓❑3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑✓ 3 Sets of Plans-Must include the following: ✓❑ Location of fire alarm devices ✓❑ Battery calculations&voltage drop calculations for notification appliance circuits ❑✓ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Madison Real Property LLC TENANT BUSINESS NAME(If Commercial): Enhanced Services Facilit OWNER MAILING ADDRESS: STREET PO Box 31609 cnV Seattle STATE WA ZIP 98103 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Western States Fire Protection CONTRACTOR ADDRESS: STREET14690 NE 95th ST#101 ciTM Redmond STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-0100 CONTRACTOR EMAIL:seth.zehnder@wsfp.us CONTRACTOR LIC.#(REQUIRED):WESTESF9O6P1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 20553 PRIMARY CONTACT: DOWNER ['CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-478-9709 Seth Zehnder CONTACT EMAIL:seth.zehnder@wsfp.us AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: -/ _,,...._ 4/1/2019 FA �� 002_002_i Owner/ th rized Agent Signature Date (Revised 3/6/2019)